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1245260850
THERESA MARY BASESKI
HAZLETON, PA
NPI
1245260850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: PA OS007866L)
Enumeration Date
2006-07-03
Last Update Date
2024-01-08
Business Address
Ms. THERESA MARY BASESKI D.O.
1000 ALLIANCE DR STE 10
HAZLETON, PA 18202-3234
Phone number: 570-501-6450
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Mailing Address
Ms. THERESA MARY BASESKI D.O.
2100 MACK BLVD FL 4
ALLENTOWN, PA 18103-5622
Phone number: 705-790-2391
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